Gupta Praveen K, Thajjuddin B A, Al Sikri Nadia E, Bangroo Anoop K
Department of Clinical Neurosciences, Salmania Medical Complex, Manama, Kingdom of Bahrain.
Pediatr Neurosurg. 2008;44(6):493-5. doi: 10.1159/000180306. Epub 2008 Dec 10.
Penetrating head injury is uncommon and is always a curiosity in terms of the mechanism involved. The complete extent of the damage can only be known with CT scan of the brain, which at times may be difficult to get, due to the large size of the foreign body. The management of such patients is always a challenge and requires innovative planning. A case of crochet needle injury is described in which the needle entered through the mouth and passed through the jugular foramen into the cerebellum. This patient, fortunately, escaped without any neurological deficit and complications. The principles of management are highlighted.
穿透性头部损伤并不常见，就其涉及的机制而言总是令人好奇。损伤的完整程度只有通过脑部CT扫描才能得知，由于异物体积较大，有时很难进行CT扫描。此类患者的治疗始终是一项挑战，需要创新的规划。本文描述了一例钩针损伤病例，针从口腔进入，穿过颈静脉孔进入小脑。幸运的是，该患者没有出现任何神经功能缺损和并发症。文中强调了治疗原则。
